AMANDA WALLACE APRN
NPI 1992408587
Obstetrics & Gynecology in Appleton, WI

Q: What is Amanda Wallace's NPI number?

The NPI number for Amanda Wallace is 1992408587. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Amanda Wallace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Wallace was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 23, 2023PECOS EnrolledAccepts Medicare Assignment

1531 S MADISON ST FL 3, APPLETON, WI 54915(920) 749-4000 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2025, Jul 19, 2023, Mar 23, 2023 (3 updates tracked since 2023).

On this page

About Amanda Wallace Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA WALLACE APRN (NPI 1992408587) is an individual obstetrics & gynecology provider in Appleton, Wisconsin, licensed in Wisconsin (APRN11024430) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of University Of South Alabama College Of Medicine (2022).

NPPES Registry Identity

NPI1992408587

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameAMANDA WALLACECredential: APRN

Location Address1531 S MADISON ST FL 3Appleton, WI 54915-1800

Mailing Address1531 S Madison St Fl 3Appleton, WI 54915-1800 · (920) 749-4000

Phone(920) 749-4000

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2022

Enumeration DateMarch 23, 2023

Last NPPES UpdateOctober 8, 20253 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1992408587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WI · APRN11024430

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1531 S MADISON ST FL 3, Appleton, WI 54915

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Wallace Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153786421

PECOS Enrollment IDI20231114002785

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Wallace's NPI number?

The NPI number for Amanda Wallace is 1992408587. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Amanda Wallace located?

Amanda Wallace practices at 1531 S Madison St Fl 3, Appleton, WI 54915. The listed phone number is (920) 749-4000.

What is Amanda Wallace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Amanda Wallace enrolled in Medicare?

Yes. Amanda Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Amanda Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amanda Wallace affiliated with any hospitals?

According to CMS data, Amanda Wallace is affiliated with Ascension NE Wisconsin - St Elizabeth Campus, Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Amanda Wallace was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.